Laserfiche WebLink
,45p17Tq g •... <br />City of South Bend Special Event Application <br />City and Regional Event <br />�4 _P..-✓ ,y 1 <br />$50 application fee if filed 60 days or greater (up to 360 days) in advance of event <br />$100 expedited application fee if filed 30-59 days in advance of event <br />Review the Instructions on the Special Events page before completing the application. City and Regional Special <br />Event applications must be submitted more than 30 days in advance of the event date or the application will not <br />be accepted. <br />I, Section A - Applicant Information /� e <br />Date of Application: _—U_7' q / / _Ri ------- —_ Organization <br />Applicant (Contact) Name: --ire_ — ---- ------------------- <br />-n�-1 <br />Applicant (Contact) Phone: M3 - 5/c23 --------- Contact Email: }%ptin5Oyt 1`� SbCSC KI�_�a , <br />Address: 19o-1 S. JC46W $-XAJ -41bIJIS ---- <br />City/State/ZIP: _5��—�'1`�'_ <br />List any professional event organizer, event service provider or commercial fundraiser that is authorized to work <br />on your behalf to plan, <br />produce and/or manage <br />�mannaag.ejyour event. <br />Organization Name: I1�1J](!/__LIji t-____ Contact Name: <br />Contact Phone: -------------------------------/Contact Email:------------------------------------ <br />Address:--------------------------------- <br />City/State/ZIP: <br />— <br />Section B - Event Information <br />Event Name : 1____--____--'`� —Event Type: (Festival, Race, Parade, Other): ----------- <br />Event Classification: Non -Profit` ❑ For -Profit <br />❑ City (Civic) Sponsored ❑ Other (If Other, please describe): ------ <br />'The Special Events Committee may request proof of non-profit status. <br />Provide a brief description and timeline of event (Note: A detailed map plan is required in Section H of this <br />application. The description should be a summary overview.) <br />Date of Event Setup [mm/dd/yyl: AQI <br />Begin Date of Event [mm/dd/yy]: _ Jn <br />End Date of Event [mm/dd/yyl: ----- L4 <br />Event Cleanup Completion [mm/dd/yyl: <br />Time: -.0- <br />__4_' <br />-------------- <br />Time: p�-Q-6------------------------- <br />Time: fY s—.1 ------------------------- <br />Time: —LJ_ - ----------------------- <br />Total anticipated attendance: —_—L ele—_—_________ p <br />The proposed event will require the closing of: )0 Streets 0 Sidewalks 1'a1 �IGILQ <br />us <br />